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Moving Beyond Narcan: A Police, Social Service, and Researcher Collaborative Response to the Opioid Crisis
American Journal of Criminal Justice ( IF 6.037 ) Pub Date : 2021-07-03 , DOI: 10.1007/s12103-021-09625-w
Michael D White 1 , Dina Perrone 2 , Seth Watts 1 , Aili Malm 2
Affiliation  

The opioid crisis is the most persistent, long-term public health emergency facing the United States, and available evidence suggests the crisis has worsened during the COVID-19 global pandemic. Naloxone is an effective overdose response that saves lives, but the drug does not address problematic drug use, addiction, or the underlying conditions that lead to overdoses. The opioid crisis is at its core a multidisciplinary, multisystem problem, and an effective response to the crisis requires collaboration across those various systems. This paper describes such a collaborative effort. The Tempe First-Responder Opioid Recovery Project is a multidisciplinary partnership that includes police officers, social workers, substance use peer counselors, public health professionals, police researchers, and drug policy/harm reduction researchers. The project, 10 months underway, trained and equipped Tempe (AZ) police officers to administer Narcan. In addition, a 24/7 in-person “Crisis Outreach Response Team” rapidly responds to any suspected overdose and offers follow-up support, referrals, and services to the individual (and loved ones) for up to 45 days after the overdose. We present preliminary project data including interviews with project managers, counselors, and police officers, descriptions of Narcan administrations in the field, and aggregate data on client service engagement. These data highlight the complexity of the opioid crisis, the collaborative nature of the Tempe project, and the importance of initiating a multidisciplinary, comprehensive response to effectively deal with the opioid problem.



中文翻译:

超越 Narcan:警察、社会服务和研究人员对阿片类药物危机的协作反应

阿片类药物危机是美国面临的最持久、长期的突发公共卫生事件,现有证据表明,在 COVID-19 全球大流行期间危机已经恶化。纳洛酮是一种有效的过量用药反应,可以挽救生命,但该药物不能解决有问题的药物使用、成瘾或导致过量用药的潜在疾病。阿片类药物危机的核心是一个多学科、多系统的问题,有效应对危机需要跨这些不同系统的协作。本文描述了这种协作努力。坦佩急救人员阿片类药物恢复项目是一个多学科合作伙伴关系,包括警察、社会工作者、药物使用同伴顾问、公共卫生专业人员、警察研究人员和药物政策/减少危害研究人员。该项目进行了 10 个月,培训和装备了坦佩 (AZ) 警察来管理纳尔坎。此外,一个 24/7 全天候现场“危机外展响应团队”对任何可疑的过量服用迅速做出反应,并在过量服用后长达 45 天内为个人(和亲人)提供后续支持、转诊和服务。我们提供了初步的项目数据,包括对项目经理、顾问和警察的采访,对 Narcan 管理部门在该领域的描述,以及关于客户服务参与的汇总数据。这些数据凸显了阿片类药物危机的复杂性,

更新日期:2021-07-04
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